What are the major diseases of medical insurance?

Major medical insurance diseases include the following:

1, childhood leukemia;

2. Congenital heart disease;

3. End-stage renal disease;

4. Breast cancer;

5. Cervical cancer;

6. Severe mental illness;

7. Drug-resistant tuberculosis;

8. Opportunistic infection of AIDS;

9. Hemophilia;

10, chronic myeloid leukemia;

1 1, cleft lip and palate;

12, lung cancer;

13, esophageal cancer;

14, gastric cancer;

15, type I diabetes;

16, hyperthyroidism;

17, acute myocardial infarction;

18, cerebral infarction;

19, colon cancer;

20, rectal cancer.

Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.

The establishment and implementation of the basic medical insurance system has gathered the economic strength of units and social members. With the government's funding, sick social members can get necessary material help from the society, reduce the burden of medical expenses, and prevent sick social members from "poverty due to illness".

In the traditional sense, medical insurance refers to raising medical insurance funds among certain insured people in a certain area through mandatory policies and regulations or voluntary contracts handled by specific organizations or institutions.

Medical insurance has the basic characteristics of social insurance, such as compulsion, mutual assistance and sociality. Therefore, the medical insurance system is usually enforced by national legislation and a fund system is established. The expenses are paid jointly by the employer and the individual, and the medical insurance premium is paid by the medical insurance institution to solve the medical risks caused by the illness or injury of the workers.

legal ground

Detailed Rules for the Implementation of People's Republic of China (PRC) Social Insurance Law

Article 8 The medical expenses incurred by the insured in the agreed medical institutions shall be paid by the basic medical insurance fund in accordance with the provisions of the state if they meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards.

If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.